| NPI | 1790014421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE PRICE Administrator 702-290-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NV 6249) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |